| 宋奕宁,李建国,关振鹏,吕厚山,张万蕾,强沁晨,金龙,杜湘珂.低分子肝素对人工关节置换术后下肢深静脉血栓形成的预防效果[J].中国医学影像技术,2005,21(7):1039~1041 |
| 低分子肝素对人工关节置换术后下肢深静脉血栓形成的预防效果 |
| Effect of low-molecular-weight heparin on preventingdeep vein thrombosis after total joint arthroplasty |
| 投稿时间：2005-04-01 修订日期：2005-05-15 |
| DOI： |
| 中文关键词: 超声检查,多普勒,彩色 关节成形术,置换 静脉血栓形成 |
| 英文关键词:Ultrasonography, Doppler, color Arthroplasty, replacement Venous thrombosis |
| 基金项目: |
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| 中文摘要: |
| 目的 观察经低分子肝素(LMWH)预防的人工关节置换术后患者的下肢深静脉血栓发生率。方法 对121例经低分子肝素预防的人工关节置换术患者于术前、术后进行彩色多普勒超声检查,评价下肢深静脉通畅情况。结果 经LMWH预防的人工关节置换术后DVT发生率为50.4%,全髋关节置换术后DVT发生率为13.3%,全膝关节置换术后为72.4%(P＜0.005),双膝关节置换术后DVT发生率高于单膝关节置换术后(P＜0.05)。人工关节置换术后近端DVT发生率为3.3%,远端DVT发生率为47.1%。结论 尽管采用LMWH预防,人工关节置换术后下肢DVT发生率仍然很高,术后有必要早期应用彩色多普勒超声进行监测,及时发现、治疗下肢深静脉血栓。 |
| 英文摘要: |
| Objective To observe the incidence of deep vein thrombosis (DVT) after total joint arthroplasty under the treatment of low-molecular-weight heparin prophylaxis. Methods Color Doppler ultrasonography was used to detect DVT in 121 patients with prophylaxis before and after arthroplasty. Results The total incidence of DVT was 50.4% among the 121 patients, with 13.3% in total knee replacement, and 72.4% in total hip replacement. The incidence of proximal DVT was 3.3%, while the incidence of distal DVT was 47.1%. Conclusion The incidence of DVT is still high in total joint arthroplasty even treated by prophylaxis. Ultrasonography should be considered as a noninvasive, accurate, useful method in diagnosing DVT before and after arthroplasty. |
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